NPI | 1275844482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124988) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME124988) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2025-08-11 |